Individual
MR. TIMOTHY JAMES ULDRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
2315 E HARMONY RD STE 170, FORT COLLINS, CO 80528-8620
(970) 495-8450
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
(970) 624-2404
(720) 718-0993
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0005255
CO
363AM0700X
Medical Physician Assistant
3743
AZ
Other
Enumeration date
03/08/2008
Last updated
06/17/2019
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